CareMetx LLC

Compensation

Full Description

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy. JOB TITLE: Senior Vice President, Data Science & Artificial Intelligence POSITION SUMMARY: The Senior Vice President of Data Science & Artificial Intelligence (SVP of DS & AI) will lead the vision, strategy, and execution of enterprise data and AI initiatives to transform patient services across the healthcare and pharmaceutical landscape. Reporting directly to the Chief Product Officer, this executive will ensure data and AI capabilities are embedded into the company’s patient support products and platforms, driving better outcomes, engagement, and adherence. The SVP will build and scale advanced analytics, machine learning, and responsible AI practices, ensuring compliance with healthcare regulations while innovating in digital patient experiences. PRIMARY DUTIES AND RESPONSIBILITIES: • Partner with the Chief Product Officer to integrate AI and analytics into the company’s product roadmap and patient support offerings. • Define and execute a product-aligned data & AI strategy that enhances patient services such as onboarding, access, adherence, and outcomes tracking. • Champion a culture of data-driven innovation across the product, technology, and patient services organizations. • Oversee data infrastructure, real-world evidence (RWE) integration, and advanced analytics that directly inform product design and patient engagement features. • Build predictive models for adherence risk, patient drop-off, and case management, embedding insights into patient support platforms. • Leverage data to optimize hub services, specialty pharmacy coordination, call center performance, and digital therapeutics. • Develop and deploy AI-driven features in patient services products, such as: • Virtual assistants and chatbots for 24/7 patient engagement. • NLP-driven tools to analyze patient and provider communications. • Predictive algorithms for adherence, refill reminders, and adverse event detection. • Establish scalable MLOps practices to integrate AI securely into commercial products while maintaining HIPAA, GDPR, and FDA compliance. • Ensure the ethical and responsible use of AI, with transparency, fairness, and patient trust as guiding principles. • Collaborate closely with Product, Engineering, Medical Affairs, and Compliance teams to ensure AI-enabled solutions align with product strategy and regulatory standards. • Partner with payers, providers, specialty pharmacies, and patient advocacy groups to identify new product opportunities powered by data and AI. • Represent the company externally as a thought leader in digital health, patient services innovation, and AI ethics. • Build and lead a high-performing team of data scientists, healthcare informaticians, engineers, and AI product specialists. • Foster collaboration between analytics teams and product managers to ensure AI use cases translate into real-world patient value. • Mentor future leaders in analytics and AI, creating succession pipelines aligned with the product organization. • Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled. • Performs other related duties as assigned EXPERIENCE AND EDUCATIONAL REQUIREMENTS: • Master’s or PhD in Data Science, AI, Healthcare Informatics, Biostatistics, or related field; MBA or MPH preferred. • 12+ years in data analytics/AI leadership, with at least 5 in healthcare, pharma, or patient services. • Proven success embedding data & AI into digital health products or patient support solutions. • Expertise in healthcare data standards (HL7, FHIR, NCPDP) and regulations (HIPAA, GDPR, FDA digital health guidance). MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS: • Strong background in AI/ML (predictive modeling, NLP, RWE analytics). • Ability to translate analytics into product features that improve patient engagement and outcomes. • Executive communication and stakeholder alignment skills. • Product-Driven Mindset: Aligns AI strategy with product innovation and patient needs. • Patient-Centered Leadership: Keeps patient experience and outcomes at the heart of all analytics. • Cross-Functional Collaboration: Works seamlessly with product, engineering, compliance, and medical affairs. • Regulatory Expertise: Ensures AI-driven products meet stringent healthcare requirements. • Ethical AI Advocacy: Leads responsibly, emphasizing transparency and fairness. • Successful integration of AI/analytics features into patient service products. • Demonstrable impact on patient engagement, adherence, and health outcomes. • Compliance with healthcare regulations and zero major audit findings. • ROI of AI-enabled product features (efficiency gains, cost savings, revenue impact). • Talent growth and retention in the data & AI organization. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • While performing the duties of this job, the employee is regularly required to sit. • The employee must occasionally lift and/or move up to 10 pounds. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. SCHEDULE: • Must be flexible on schedule and hours • Some travel may be required CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply. At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services. CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.